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healthcare411.ahrq.gov/health-literacy/professional-training/shared-decision/workshop/mod1-guide.html
September 01, 2020 - Skip to main content
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healthcare411.ahrq.gov/hai/pfp/methods.html
December 01, 2017 - ratios are, with one exception, all below 1.0 makes intuitive sense: it is credible that the rate of harm
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/gap_analysis_tool.docx
November 01, 2019 - and recommend improvement approaches
☐ Perform proactive risk assessments to determine areas in which harm
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healthcare411.ahrq.gov/sites/default/files/publications/files/universalicu.pdf
September 01, 2013 - CHG will not harm occlusive dressing or EKG leads.
Be careful to avoid deep surgical wounds … CHG will not harm occlusive dressing (e.g., wound vacs).
Do NOT use on large or deep wounds
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healthcare411.ahrq.gov/hai/cauti-tools/archived-webinars/breaking-down-barriers-slides.html
December 01, 2017 - Skip to main content
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/ced-appendix2-comments.xlsx
October 12, 2022 - Appendix 2: CED Compiled Public Comment Themes
Summary_Out of Scope Comments
There were many comments that were outside of the scope of this project in that they addressed the CED process rather including when and how it should be implemented. Multiple comments proposed that AHRQ should undertake a similar exercise …
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healthcare411.ahrq.gov/teamstepps-program/curriculum/team/tools/index.html
July 01, 2023 - should also be noted that for patients with limited English proficiency, who are at higher risk of harm
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/tool_safe-oxytocin.docx
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Safe Medication Administration: Oxytocin
AHRQ Safety Program for Perinatal Care
Safe Medication Administration
Oxytocin
Safe Medication Administration—Oxytocin
Purpose of the tool: This tool describes the key perinatal safety elements with examples for the safe administration of…
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healthcare411.ahrq.gov/teamstepps/webinars/index.html
September 01, 2019 - experiential learning of the TeamSTEPPS key principles on the path toward "zero events of preventable harm
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healthcare411.ahrq.gov/patient-safety/reports/advances-new-directions/index.html
July 01, 2022 - Relationship Between Patient Harm and Reported Medical Errors in Primary Care: A Report from the ASIPS
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/topics/advancing-diagnostic-equity.pdf
November 15, 2022 - Advancing Diagnostic Equity Through Clinician Engagement, Community Partnerships, and Connected Care
Advancing Diagnostic Equity Through Clinician
Engagement, Community Partnerships, and Connected
Care
Traber D. Giardina, PhD, MSW1,2 , LeChauncy D. Woodard, MD, MPH3, and
Hardeep Singh, MD, MPH1,2
1Houston Cent…
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursinghome-resourcelist.pdf
April 01, 2023 - RCA2: Improving Root Cause Analyses and Actions To Prevent Harm
http://www.ihi.org/resources/Pages/Tools … With the objective of preventing future harm, this updated process
focuses on actions to be taken: Root … Quality Improvement Savings Tracker Worksheet
RCA2: Improving Root Cause Analyses and Actions To Prevent Harm
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/prp/prp-wound-care.pdf
September 17, 2020 - In terms of safety, there was no clear signal of harm for all three wound types. … In terms of safety, there was no clear signal of harm for all three wound types.
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healthcare411.ahrq.gov/patient-safety/settings/hospital/resource/guide/web6.html
December 01, 2017 - Harm reduction.
Meet "where they are."
Patient priorities first.
Relationship-based.
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/hospital-efficiency-resources.pdf
May 01, 2023 - practitioners can use to respond in a
timely, thorough, and just way when unexpected events cause patient harm
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healthcare411.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-5/slides.html
September 01, 2017 - Slide 35: Annotated Run Chart
Image: Annotated run chart: med-surg falls with harm by quarter per
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4d_combo_psi07-crbsi-bestpractices.pdf
May 20, 2016 - in terms of both morbidity and
financial resources expended.3,4
• CLABSIs not only cause patient harm
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/2017qdr-patsafchartbook.pdf
October 01, 2018 - Making care safer by reducing harm caused in the delivery of care.
2. … admissions and
readmissions, reduce the incidence of adverse healthcare-associated conditions, and reduce harm … This chartbook focuses on adverse healthcare-associated conditions and harm from care. … includes the use of invasive devices and procedures, increasing patients’ risk
for infection and other harm … Adverse Drug Events
• An adverse drug event (ADE) is an injury—including physical harm, mental harm,
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/diagnostic-safety-resources.pdf
May 01, 2023 - be used by any healthcare organization interested in promoting diagnostic
excellence and reducing harm
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/patient-safety-technology-resources.pdf
May 01, 2023 - , infographic, podcast, and course to teach where health IT can
unexpectedly contribute to patient harm